St. Helena's South Neighbors

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This is the start of a simple effort to collect detailed contact information for neighbors south and east of St. Helena's school.

Only those providing information will be given access to the results. Information provided here may not be shared with anyone not on the neighborhood contact list without permission.

House Address *

Just the number.

Street *

Please select.

32nd Ave S

33rd Ave S

34th Ave S

44th St. E

Other:

Telephone *

Your household's primary number with area code - if you are an all mobile household, put the best one to call first

Your Full Name - Adult 1 *

Your E-mail Address - Adult 1

Mobile Telephone - Adult 1

With area code please

Text Messaging - Adult 1 - If you provided a Mobile # for Adult 1 AND you are open to receiving urgent text (sms) messages, fill out the _name of your mobile provider._

We will define "urgent" later, but the idea is to make it possible for people to connect quickly if needed. Most mobile providers have e-mail to text gateways - so we might try that as a way for an urgent SMS note.

Full Name - Adult 2

Your E-mail Address - Adult 2

Mobile Telephone - Adult 2

With area code please

Text Messaging - Adult 2 - If you provided a Mobile # for Adult 2 AND you are open to receiving urgent text (sms) messages, fill out the _name of your mobile provider._

Year You Moved Into This Address

Total Number of Occupants at Address

Number of people who usually live at your address (include other adults, renters, children)

Number of Children At Home

Pets in the Home

Information we can provide to fire/emergency personnel, share kind and number

Internet Access At Home

Yes

Limited (Use Dial-up Infrequently)

None

Are You Willing to Be Near Top of Phone Tree

So we can get important information to mostly older neighbors not online quickly

Private Online Group/E-mail List - Opt-Out

We will connect those south and east of St. Helena's on a private group e-mail list unless you Opt-out

Yes - We assume this if answer is left blank

Not Sure - I need more information

Opt-Out - Do not place these e-mail addresses on neighbor e-mail list/online group

Clear selection

If you do not have e-mail, do you have a family member or close family friend who would like to monitor the e-mail group on your behalf?

If yes, please share their name, e-mail address and relationship to you

Here is a laundry list where you can express interest in things that interest someone in your household

OK - DRAFTING A CRAZY NUMBER OF THINGS

Attending an National Night Out on/near my block

Participating in block club meetings (focused on crime prevention primarily)

Receiving free block leader training from the police

Volunteering for a regular ~once a week block watch walk

Volunteering for an on-demand block watch group

Exploring group purchasing of home security services

Exploring group purchasing of other household/home services

Sharing regular "CSA" or community supported agriculture shares (typically weekly)

We need babysitters

Someone in our household baby sits for a fee

Someone in our household shovels walks for a fee

Someone in our household mows lawns for a fee

Interested in major tool sharing - owned, rental, etc.

Someone in our household does odd "handyman" jobs for a fee

Someone in our household cleans houses for a fee

As a senior citizen, I am open to and interested neighbors checking in on me from time to time

We are interested in assisting elderly on or near our block

We are interested in summer youth activities and arts

We are interested in organized group play dates on or near our block

Hosting a winter pot luck for nearby neighbor

Participating in a progressive dinner on or near our block

Playing card games with interested neighbors on a regular or monthly basis

Playing board games with interested neighbors on a regular or monthly basis

We need lawn service

We need someone to shovel snow

Spring plant swap

Sharing a sunny portion of my yard for vegetable gardening with a neighbor for a portion of the produce

Submit

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